| NPI | 1962987511 |
|---|---|
| Professional Name | LYNETTA F TRICE- BICKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018295) |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2024-03-24 |